미국과 영국의 의료기술평가 연구주제 도출 과정

Abstract

Objectives: This study is to review international research trends in Health Technology Assessment (HTA) through USA and UK HTA institutions’ research agenda setting processes. This will be useful for people’s health protection and efficient utilization of health care resources. Methods: For this study, we selected subject institutions, AHRQ, PCORI, NETSCC, and NICE as the major HTA institutions in the US and UK. To investigate these institutions’ research agenda setting process, we collected relevant materials from their internet site and consultation from experts meeting or email communications, and reviewed literatures. Results: In the USA and UK HTA institutions, research agenda were extracted from various sources including general peoples, experts, policy makers and other stakeholders. Research topics were selected at the various settings as priority committee, expert panel, consultation committee, and policy makers. And the standards were considered the elements of importance of the theme, disease burden (e.g., prevalence, severity), the impact of the technology, feasibility, and the agenda or priority groups. Although the research agenda setting processes were various with the institutions’ role in the national health care systems, there was consistency in the processes with their institutions’ establishing background, mission, and objective and transparent priority standards and processes with stakeholders’ active participation. Conclusion: Research agenda setting processes in the USA and UK could be prior examples and give valuable implications for establishment of the research agenda setting mechanism and Korean HTA system development.